Fat necrosis with lipoatrophy

Case contributed by Utkarsh Kabra
Diagnosis probable

Presentation

Reduced soft tissue bulk in left gluteal region with depression.

Patient Data

Age: 2 years
Gender: Male
mri

Significant loss of subcutaneous fat in the left gluteal region with irregularity of overlying skin. 

Sheet-like STIR hyperintensity is seen abutting gluteus maximus muscle with complete loss of overlying subcutaneous fat.

Possible hyperintense strands are also seen in adjacent subcutaneous fat planes anteriorly. 

Case Discussion

Findings are consistent with fat necrosis with lipoatrophy.

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